Shifting Paradigms in Public Health, 2013
From Holism to Individualism

This transdisciplinary volume outlines the development of public health paradigms across the ages in a global context and argues that public health has seemingly lost its raison d?être, that is, a population perspective. The older, philosophical approach in public health involved a holistic, population-based understanding that emphasized historicity and interrelatedness to study health and disease in their larger socio-economic and political moorings. A newer tradition, which developed in the late 19th century following the acceptance of the germ theory in medicine, created positivist transitions in epidemiology. In the form of risk factors, a reductionist model of health and disease became pervasive in clinical and molecular epidemiology.

The author shows how positivism and the concept of individualism removed from public health thinking the consideration of historical, social and economic influences that shape disease occurrence and the interventions chosen for a population. He states that the neglect of the multifactorial approach in contemporary public health thought has led to growing health inequalities in both the developed and the developing world. He further suggests that the concept of ?social capital? in public health, which is being hailed as a resurgence of holism, is in reality a sophisticated and extended version of individualism.

Foreword.- Chapter 1. Introduction: Public Health in Dilemma of Facticity.- PARTI: PHILOSOPHICAL HISTORIOGRAPHY OF PUBLIC HEALTH.- Chapter 2. Origins and Orientations of Medicine and Health: A Socio-historical Overview.- Chapter 3. Philosophical Historiography of Epidemiology.- Chapter 4. Epidemiology, Sociology and Psychology of Health and Disease.- PART II: METHODOLOGICAL INDIVIDUALISM IN SOCIAL SCIENCES.- Chapter 5. Ideas and Ideologies of Methodological Individualism in Sociology of Knowledge and Neoliberal Economics.- Chapter 6. Individuation of Psychology.- PART III: STRUCTURE POWER AND THEORY OF HEALTH INEQUALITIES.- Chapter 7. Polemics and Politics of Health Inequalities: A Critique.- Chapter 8. Metaphor of HIV/AIDS Policy: Images and Contexts.- Chapter 9. Epilogue: The Past and Future of Public Health.

Addresses paradigmatic shifts in public health discourse from the ancient to the modern world, with a focus on epidemiology

Draws on perspectives from the social sciences, medicine, and history

Discusses the shift in public health discourses from a population focus to methodological individualism, with adverse consequences for the population

Argues for a rights-based perspective to bring social justice and fairness within public health policy

Includes supplementary material: sn.pub/extras